Admission Form

TECNIA INTERNATIONALSCHOOL Affiliated to Central Board of Secondary Education(CBSE) Recog. By Directorate of Education, Govt. of NCT,Delhi L.K.G TOXII F- 19, Sec-8, Rohini, Delhi Ph.: 27948500,27942400 E-mail: [email protected], [email protected],www.tecniaschool.com ADMISSION FORM AFFIX CHILD’S PASSPORT SIZE PHOTO

FormNo.

AFFIX FATHER’S PASSPORT SIZE PHOTO

AFFIX MOTHER’S PASSPORT SIZE PHOTO

FOR OFFICE USEONLY REGISTRATIONNO. REGISTRATION FEE RECEIPTNO. ADMISSIONNO. YEARAPPLIED

DATE OFREGISTRATION DATE OFADMISSION REGISTRATION FOR CLASS (STREAM –XI)

CHILD’SDETAILS NAME

GENDER

M

F

SC/ST

Y

N

(IN BLOCKLETTERS)

DATE OFBIRTH D AGE AS ON 31STMARCH

D

M

YEARS

M

Y

Y

MONTHS

Y

Y

DAYS

PLACE OF BIRTH DISTANCEFROM SCHOOL (inkms.)

ADDRESS PHONENO.

MOBILENO.

NATIONALITY

AADHAAR NUMBER

HEALTHINFORMATION HEIGHT CHRONIC AILMENTS/ALLERGY (if any) PHYSICAL DISABILITY

WEIGHT

EYESIGHT BLOOD GROUP

Y

N

ANY OTHER HEALTH PROBLEM

FAMILYDETAILS FATHER/GUARDIAN

DETAILS MOTHER/GUARDIAN NAME (IN BLOCKLETTERS) DATE OFBIRTH NATIONALITY ACADEMICQUALIFICATION OCCUPATION DESIGNATION NAME OF THE ORGANIZATION OFFICEADDRESS PHONE NO.(OFFICE) MOBILENO. EMAILID. INCOME PERMONTH AADHAAR NUMBER CONTACT IN CASE OF EMERGENCY (OTHER THANPARENTS) NAME ADDRESS PHONE NO. /MOBILE STAFF OFTECNIA Y N Y N PARENTALUMNI Y N Y N SCHOOLS ATTENDED BY THE CHILD (BEGIN WITH PRESENTSCHOOL) NAME & ADDRESS OF THESCHOOL

CLASS

BOARD

ANY OUTSTANDING ACHIEVEMENTS IN MUSIC, DANCE,SPORTS INTERESTS / HOBBIES OF THECHILD TRANSFERCASE Y NAME

GRADES / PERCENTAGE

REASON FOR LEAVING

NO. OF YEARS ATTENDED

N

SIBLING’SINFORMATION AGE CLASS

TRANSPORTINFORMATION SCHOOL TRANSPORTREQUIRED

IS SIBLING INTECNIA? Y N Y

N

Y

N

1. Weherebycertifythattheinformationgiveniscomplete, trueandtothebestofourknowledge.Weunderstand that misrepresentations or omissions of facts will justify the denial/cancellation ofadmission. 2. We do hereby consent to abide by the school’s rules andregulations. 3. Our son/daughter will follow the high standard of discipline of theschool.

SIGNATURE OF FATHER/GUARDIAN

SIGNATURE OF MOTHER/GUARDIAN

SIGNATURE OF HEAD OF SCHOOL/COMPETENTAUTHORITY

SELF-ATTESTED PHOTOCOPIES OF DOCUMENTS TO BE ATTACHED

CLASS - LKG-UKG 1

BIRTH CERTIFICATE OF THE CHILD

2

ID PROOF OF FATHER & MOTHER

3

RESIDENCE PROOF

4

COPY OF PAN CARD

5

COPY OF AADHAR CARD ( CHILD, FATHER & MOTHER)